Systems are provided for convenient and sterile isolation, collection, and seeding of cells onto a scaffold or tissue graft. The systems may be closed. Methods for use of the disclosed systems for isolation, collection and seeding of cells and generation of tissue engineered vascular grafts are also provided. The systems may be supplied in kits for efficient and expeditious use.
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1. A system for seeding cells comprising:
a cellular isolate fluid container;
a flow channel disposed between the cellular isolate fluid container, a collection fluid container, an elution fluid container, and a seeding container, wherein the flow channel comprises an inlet, an outlet and a filter therebetween;
at least one residual seeded cell fluid container, wherein the residual seeded cell fluid container is selectively in fluid communication with the seeding container; and
a vacuum source in fluid communication with the residual seeded cell fluid container and a suction rod having a closed end, an open end, and an aperture; wherein
the filter is adapted to allow flow in at least two directions;
the flow channel is selectively in fluid communication with each of the cellular isolate fluid container, the collection fluid container, the elution fluid container, and the seeding container, respectively;
the seeding container comprises a vent, a cell seeding assembly, and a perforated mandril having an open end, wherein the suction rod is positioned within the mandril; and
the system is a closed system.
23. A closed system for culturing cells, comprising:
a first means for containing a cellular isolate;
a second means for directing fluid flow disposed between the first means,
a third means for collecting fluid,
a fourth means for containing an elution fluid,
a fifth means for containing a cell seeding assembly, wherein the second means comprises a filter,
a sixth means for directing fluid flow,
wherein the filter is adapted to allow flow in at least two directions, wherein the second means is selectively in fluid communication with each of the first means, third means, fourth means, and fifth means, respectively, and wherein a biodegradable, biocompatible three-dimensional scaffold is apposed to at least a portion of the sixth means;
a seventh means for containing residual seeded cell fluid which is in fluid communication with the fifth means; and
an eighth means for removing residual seeded cell fluid which is in fluid communication with the seventh means and a suction rod having a closed end, an open end, and an aperture, wherein each of the first means, second means, third means, fourth means, fifth means, sixth means, seventh means, and eighth means are connected by a ninth means for facilitating fluid flow,
wherein the sixth means is a perforated mandril having an open end and disposed between the fifth and seventh means, wherein the suction rod is positioned within the mandril.
26. A closed system for culturing cells, comprising:
a first means for containing a cellular isolate;
a second means for directing fluid flow disposed between the first means,
a third means for collecting fluid,
a fourth means for containing an elution fluid,
a fifth means for containing a cell seeding assembly, wherein the second means comprises a filter,
a sixth means for directing fluid flow,
wherein the filter is adapted to allow flow in at least two directions, wherein the second means is selectively in fluid communication with each of the first means, third means, fourth means, and fifth means, respectively, and wherein a biocompatible three-dimensional scaffold is apposed to at least a portion of the sixth means;
a seventh means for containing residual seeded cell fluid which is in fluid communication with the fifth means; and
an eighth means for removing residual seeded cell fluid which is in fluid communication with the seventh means and a suction rod having a closed end, an open end, and an aperture, wherein each of the first means, second means, third means, fourth means, fifth means, sixth means, seventh means, and eighth means are connected by a ninth means for facilitating fluid flow,
wherein the sixth means is a perforated mandril having an open end and disposed between the fifth and seventh means, the biocompatible three-dimensional scaffold comprises a matrix of polymer fibers, the ninth means comprises a flexible or rigid fluid line and at least one valve that permits the selective flow of a medium therethrough, and the suction rod is positioned within the mandril.
2. The system of
3. The system of
5. The system of
7. The system of
8. The system of
11. The system of
12. The system of
13. The system of
14. The system of
17. The system of
18. A method for seeding cells onto a scaffold comprising:
providing the system of
directing flow of fluid in a first direction from the cellular isolate fluid container to the collection fluid container, wherein the cells from the cellular isolate fluid are retained on the filter;
closing at least one valve such that the flow channel is not in fluid communication with the collection fluid container or the cellular isolate fluid container, wherein a second phase is defined by the flow channel being in fluid communication only with the elution fluid container and the seeding container;
directing flow of the elution solution from the elution fluid container through the flow channel filter in a direction approximately opposite from the first direction, such that the cells are substantially removed from the filter and flow into the seeding container; and
removing the fluid from the seeding container by directing flow through the biocompatible three-dimensional scaffold and the perforated mandril into the residual cell fluid container, whereby at least a portion of the cells in the seeding container are seeded onto the scaffold.
19. The method of
removing the fluid in the seeding container:
closing a valve between the flow channel and the elution fluid container, wherein a third phase is defined by the collection fluid container being in fluid communication only with the flow channel and/or the seeding container; and
directing flow of fluid from the collection fluid container to the seeding container.
20. The method of
22. The method of
24. The closed system of
25. The closed system of
27. The closed system of
29. The closed system of
30. The closed system of
32. The closed system of
33. The closed system of
34. The system of
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The U.S. Government has certain rights in this invention pursuant to the following grants: 5K08HL083980-05 awarded to Dr. Christopher Breuer by the United States National Institutes of Health (NIH).
The present invention relates to a system, including an apparatus and method for the collection, isolation, seeding of cells from a source, e.g., an individual, directly onto a biocompatible scaffold in preparation for implantation.
Vascular and cardiothoracic surgeons use vascular grafts to repair or replace segments of arterial and venous blood vessels that are weakened, damaged, or obstructed due to trauma or disease such as aneurysm, atherosclerosis, and infection. Historically, vascular grafts have been either homografts, such as the patient's own saphenous vein or internal mammary artery, prosthetic grafts made of synthetic materials such as polyester (e.g., Dacron), expanded polytetrafluoroethylene (ePTFE), and other composite materials, or fresh or fixed biological tissue grafts.
However, synthetic grafts generally have inadequate patency rates for many uses, while the harvesting of homografts requires extensive surgery which is time-consuming, costly, and traumatic to the patient. Fixed tissue grafts do not allow for infiltration and colonization by the host cells, which is essential to remodeling and tissue maintenance. Consequently, fixed tissue grafts degrade with time and will eventually malfunction.
Due to the inadequacies of these currently available synthetic and biological grafts, and the high cost and limited supply of homografts, tissue engineered grafts are being developed which are sterilized, then seeded and cultured, in vitro, with cells. These tissue engineered grafts may be superior to other grafts for use in replacement therapy in that they may display the long term dimensional stability and patency of native arteries and vessels with normal physiologic functionality.
Historically, cell isolation and seeding in addition to culturing of tissue-engineered grafts generally requires the use of a sterile environment, such as a hood or specialized facility, such as an ISO Class 7 room. However, there are disadvantages to seeding and culturing tissue in such an environment. For example, these systems can be cumbersome for the user, inconvenient, time-consuming to use, and very expensive to build and maintain.
Thus, there exists a need in the art for compositions and methods that allow for the convenient, sterile isolation, collection and seeding of tissue engineered grafts and other prosthetic devices.
Described herein is a system, preferably, a closed, sterile system, including an apparatus and methods, for isolating and collecting cells, e.g., bone marrow-derived progenitor cells, such as mononuclear cells, from a source, preferably, a subject, and then seeding them onto a biocompatible, three-dimensional scaffold or tissue graft. The scaffold or graft can be further incubated within the system for culture, transport, storage, testing and/or implantation into a subject, e.g., as a tissue graft, such as a vascular graft, to regenerate and/or repair a tissue in vivo, in vitro or ex vivo.
In accordance with the present invention, there is provided an apparatus and method for isolating and seeding, culturing, storing, shipping, and testing vascular grafts within a closed and sterile system that does not requires a specialized hood or clean room. In certain aspects, the present invention provides an apparatus and method for seeding and culturing vascular grafts with human cells, resulting in a tissue engineered vascular graft populated with viable human cells.
In certain aspects, the invention provides a closed, disposable system that isolates the desired cell type using a filtration/elution technique, and seeds the cells onto a three-dimensional biocompatible scaffold using vacuum seeding. The seeded scaffold can then be incubated and removed from the system when ready for use.
Accordingly, in one aspect, a system for seeding cells is provided comprising a cellular isolate fluid container; a flow channel disposed between the cellular isolate fluid container and a collection fluid container, an elution fluid container, and a seeding container, wherein the flow channel comprises an inlet, an outlet and a filter therebetween, wherein the filter is adapted to allow flow in at least two directions, and wherein the flow channel is selectively in fluid communication with each of the cellular isolate fluid container; the collection fluid container, the elution fluid container, and the seeding container, respectively. In certain embodiments, the seeding container comprises a porous or perforated tube, e.g., a perforated mandril, and a biocompatible three-dimensional scaffold which is apposed to at least a portion of the tube. In certain additional embodiments, the system includes a residual seeded cell fluid container in fluid communication with the seeding container, and a vacuum source in fluid communication with the residual seeded cell fluid container.
In another aspect, methods for using a system for seeding cells as described herein is provided.
The present invention further provides any invention described herein.
The preceding general areas of utility are given by way of example only and are not intended to be limiting on the scope of the present disclosure and appended claims. Additional objects and advantages of the present invention will be appreciated by one of ordinary skill in the art in light of the instant claims, description, and examples. For example, the various aspects and embodiments of the invention may be utilized in numerous combinations, all of which are expressly contemplated by the present description. These additional advantages objects and embodiments are expressly included within the scope of the present invention.
The accompanying drawings, which are incorporated into and form a part of the specification, illustrate several embodiments of the present invention and, together with the description, serve to explain the principles of the invention. The drawings are only for the purpose of illustrating an embodiment of the invention and are not to be construed as limiting the invention. Further objects, features and advantages of the invention will become apparent from the following detailed description taken in conjunction with the accompanying figures showing illustrative embodiments of the invention, in which:
The following is a detailed description of the invention provided to aid those skilled in the art in practicing the present invention. Those of ordinary skill in the art may make modifications and variations in the embodiments described herein without departing from the spirit or scope of the present invention. Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for describing particular embodiments only and is not intended to be limiting of the invention. All publications, patent applications, patents, figures and other references mentioned herein are expressly incorporated by reference in their entirety.
Described herein is a system, preferably, a closed, sterile system, including an apparatus and methods, for isolating and collecting cells, e.g., bone marrow-derived progenitor cells, such as mononuclear cells, which are seeded onto a biocompatible, three-dimensional scaffold, incubated, and which can then be, for example, implanted, e.g., as a tissue graft, such as a vascular graft. In certain embodiments, the system utilizes a filtration/elution technique, for sterile isolation, seeding, and incubation of cells on to three-dimensional scaffolds. The sterile isolated cells populating the biocompatible scaffold can be cultured and employed in storing, shipping, and/or testing the cells from an individual. Alternatively, the scaffold populated with viable isolated cells can be cultured and used, for example, as an implantable graft, e.g., a vascular graft, to regenerate and/or repair a tissue in vivo, in vitro or ex vivo.
Thus, one advantage of the present invention is that it provides a convenient, relatively low-cost system for sterilely isolating, seeding, and incubating cells onto a scaffold without the need for a hood or specialized facility such as an ISO Class 7 room. Another advantage is that the method can be carried out quicker than conventional methods using a hood or specialized facility. Advantageously, for example, the method can be carried out in a few hours, e.g., about 5 hours or less, preferably, about 3 hours or less, even more preferably, about two (2) hours or less.
Where a range of values is provided, it is understood that each intervening value, to the tenth of the unit of the lower limit unless the context clearly dictates otherwise, between the upper and lower limit of that range and any other stated or intervening value in that stated range is encompassed within the invention. The upper and lower limits of these smaller ranges which may independently be included in the smaller ranges is also encompassed within the invention, subject to any specifically excluded limit in the stated range. Where the stated range includes one or both of the limits, ranges excluding either both of those included limits are also included in the invention.
Although any methods and materials similar or equivalent to those described herein can also be used in the practice or testing of the present invention, the preferred methods and materials are now described. All publications mentioned herein are incorporated herein by reference to disclose and described the methods and/or materials in connection with which the publications are cited.
It must be noted that as used herein and in the appended claims, the singular forms “a”, “and”, and “the” include plural references unless the context clearly dictates otherwise. All technical and scientific terms used herein have the same meaning.
Unless defined otherwise, all technical and scientific terms used herein have the meaning commonly understood by a person skilled in the art to which this invention belongs. The following references, the entire disclosures of which are incorporated herein by reference, provide one of skill with a general definition of many of the terms used in this invention: Singleton et al., Dictionary of Microbiology and Molecular Biology (2nd ed. 1994); The Cambridge Dictionary of Science and Technology (Walker ed., 1988); The Glossary of Genetics, 5th Ed., R. Rieger et al. (eds.), Springer Verlag (1991); and Hale & Marham, the Harper Collins Dictionary of Biology (1991). As used herein, the following terms may have meanings ascribed to them below, unless specified otherwise. However, it should be understood that other meanings that are known or understood by those having ordinary skill in the art are also possible, and within the scope of the present invention. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety. In the case of conflict, the present specification, including definitions, will control. In addition, the materials, methods, and examples are illustrative only and not intended to be limiting.
In order that the present invention may be more readily understood, certain terms are first defined.
The term “mandril” can mean, but in no way limited to, a cylindrical device or tube, e.g., a metal bar, that serves as a core around which material, e.g., a matrix scaffold for seeding and growing cells, may be cast, molded, forged, bent, or otherwise shaped. In certain embodiments, the mandril described herein is open on at least one end. In additional embodiments, the mandril described herein may also contain holes or perforations along its axis (i.e., along its length).
The term “valve” can mean, but in no way limited to, a device or part of a device by which the flow of liquid, gas, or loose material may be started, stopped, or regulated, e.g., by a movable part that opens, shuts or partially obstructs one or more ports (e.g., inlet or outlet) or passageways.
The term “biocompatible” can mean, but is not limited to, a material that the body generally accepts without a major immune response, which is capable of implantation in biological systems, for example, tissue implantation, without causing excessive fibrosis or rejection reactions.
The term “biodegradable” can mean, but is not limited to, the ability of a substance or material to break down into harmless substances by the action of a living organism(s).
The term “polymer” can mean, but is not limited to, a macromolecule formed by the chemical union of five or more identical combining units called monomers. In most cases, the number of monomer is quite large and often is not precisely known. In synthetic polymers, this number may be controlled to a predetermined extent. Combinations two, three, or four monomers are called, respectively, dimers, trimers, and tetramers, and are known collectively as oligomers. Polymers may be inorganic (e.g., siloxane, sulfur chains, black phosphorus, boron-nitrogen, silicones) or organic (meaning containing carbon). Organic polymers may be natural (e.g., polysaccharides, such as starch, cellulose, pectin, seaweed gums, vegetable gums; polypeptides, such as casein, albumin, globulin, keratin, insulin, DNA; and hydrocarbons], synthetic (such as, for example, thermoplastics (e.g., unvulcanized elastomers, nylon, polyvinyl chloride, linear polyethylene, polystyrene, polypropylene, polyurethane, acrylate resins); thermosetting (e.g., vulcanized elastomers, crosslinked polyethylene, phenolics, alkyds, polyesters), and semisynthetic (e.g., cellulosics, such as rayon, methylcellulose, cellulose acetate; and modified starches)].
The term “homopolymer” can mean, but is not limited to, a natural or synthetic polymer derived from a single monomer.
The term “heteropolymer” can mean, but is not limited to, a natural or synthetic polymer derived from more than one monomer subunit (i.e., co-polymer). Unless otherwise indicated, the term “polymer” is used generally to refer to both homopolymers and heteropolymers (i.e., co-polymer) as described herein.
The term “water soluble cellulose compounds” can mean, but is not limited to, a family of cellulose compounds that are long chain macromolecules of repeating glucose units substituted to varying extents with anionic sulfate groups, which can be represented as —SO3−. Molecular weights of water soluble cellulose compounds encompassed by the invention typically range from about 5×105 to about 3×106 g/mol. The hydroxyl groups of each glucose unit can be substituted with from one to three sulfate groups. The sulfonation imparts water solubility to the otherwise insoluble cellulose. The availability of unsubstituted hydroxyl groups provides reactive sites for crosslinking for the soluble cellulose sulfate. The negative charge of the sulfate group is balanced by the positive charge of a cationic species, typically an alkali metal cation, and preferably the sodium cation. In certain embodiments, the polymer matrix that forms the scaffold can additionally comprise a water soluble cellulose compound, e.g., NaCS.
The term “collagen” can mean, but is not limited to, any of a family of extracellular, closely related proteins occurring as a major component of connective tissue, giving it strength and flexibility. At least fourteen (14) types exist, each composed of tropocollagen units that share a common triple-helical shape but that vary somewhat in composition between types, with the types being localized to different tissues, stages, or functions. In some types, including the most common, Type I, the tropocollagen rods associate to form fibrils or fibers; in other types the rods are not fibrillar but are associated with fibrillar collagens, while in others they form nonfibrillar, nonperiodic but structured networks. Tropocollagen, the basic structural unit of collagen comprises a helical structure consisting of three polypeptide chains, each chain composed of about a thousand amino acids, coiled around each other to form a spiral and stabilized by inter- and intrachain covalent bonds. It is rich in glycine, which occurs as nearly one residue out of three, as well as proline, hydroxyproline, and hydroxylysine; the last two rarely occur in other proteins.
The term “microscale fiber” or “micron sized fiber” can mean, but is not limited to, fibers whose diameter ranges from about 1 micrometer (10−6 m) to about 1000 micrometers.
The term “nanoscale fiber” or “nano sized fiber” can mean, but is not limited to, fibers whose diameter ranges from about 1 nanometer (10−9 m) to about 1000 nanometers.
In certain embodiments, the degradable polymer is selected from the group consisting of a poly(lactic acid-glycolic acid), a poly(lactic acid), a poly(glycolic acid), a poly(orthoester), a poly(phosphazene), poly(or polycaprolactone, a polyamide, a polysaccharide, and a collagen. In a preferred embodiment, the polymer is poly(lactic acid-glycolic acid).
As used herein, the terms “poly(glycolic acid)”, polyglycolide, and “PGA” are used interchangeably herein to refer to a biodegradable, thermoplastic polymer and the simplest linear, aliphatic polyester. PGA may be obtained commercially, for example, from Sigma-Aldrich.
A “polylactide” is a biodegradable polymer derived from lactic acid. Poly(lactide) or PLA exists in two stereo forms, signified by a D or L for dexorotary or levorotary, or by DL for the racemic mix. The term “PLLA” refers to the biodegradable aliphatic polyester homopolymer poly L-lactic acid. PLLA may be obtained commercially, for example, from Alkermes, Inc.
The terms poly(lactic acid-glycolic acid), poly(D,L-lactide-c-glycoside), and PLGA are used interchangeably to refer to a copolymer of polylactic acid and glycolic acid. PLGA may be obtained commercially, for example, from Alkermes, Inc.
As used herein, the term “polysaccharide” is a long-chain natural or synthetic polymer made up of linked simple sugars (monosaccharides) such as glucose and closely related molecules. Two monosaccharide molecules may be joined by a glycosidic bond to form a disaccharide, as, for instance, in the linkage of glucose and fructose to create sucrose. More complicated polysaccharides such as starch, glycogen, cellulose or chitin consist of numerous monosaccharide units joined by glycosidic bonds.
As used herein, the term “porous” relates to having one or more openings, pores, perforations or holes that may be filled or perfused by a liquid and/or a gas, or that allows for the flow of a liquid and/or gas therethrough.
The term “growth factor” refers generally to bioactive cell signaling molecules, including cytokines and chemokines, which are known to elicit physiological effects through their interaction with cell surface receptors (typically receptor tyrosine kinases, Ser/Thr kinases, immunoglobulins or GPCRs) on a cell. The phyiological effects of growth factor binding to its receptor include, for example, changes in gene expression, and/or cell proliferation, differentiation, activation, quiescence, or apoptosis. In certain cases, growth factors are pleiotropic, i.e., they may induce different physiological effects depending on the concentration, cell type, and/or cell status. In any of the embodiments provided herein, the fiber, matrix, and/or scaffold may additionally include one or more growth factors to enhance, e.g., cell or tissue growth, differentiation, and/or repair.
The term “bioactive” and “bioactivity” can mean, but is in no way limited to, any effect on, interaction with, or response from living tissue.
As used herein, the term “fluid” can mean, but is in no way limited to, a material and/or a combination of materials capable of flowing. For example, a fluid for use in any of the embodiments described herein may include a liquid component and/or a non-liquid component (e.g., gas, solid, semi-solid, particulate, colloid) such as in a solution, a suspension, a dispersion or a combination thereof. By way of further example, the phrase “cellular isolate fluid” comprises a combination of a liquid component and a cellular or tissue-derived material.
The following embodiments of the present invention will be described in the context of a system, including an apparatus and method, for seeding, culturing, storing, shipping, and testing vascular grafts, although those skilled in the art will recognize that the disclosed methods and structures are readily adaptable for broader application. Note that whenever the same reference numeral is repeated with respect to different figures, it refers to the corresponding structure in each such figure.
In certain embodiments, the system includes a means for containing a cellular isolate, e.g., a cellular isolate fluid. In certain embodiments the means is a container 3 such as a media bag or any flexible or rigid container capable of being sterilized and/or that is hermetically sealed. For example, a Gibco-BFL 1 L media bag could be used. In certain embodiments, cellular isolate fluid container 3 may be composed of any biocompatible, rigid material capable of being sterilized such as Teflon, polycarbonate, PVC, or stainless steel. Container 3 can have any suitable volume for containing the cellular isolate fluid.
In a preferred embodiment, the container 3 has at least one port adapted for the sterile filling and/or dispensing of a fluid, for example, a bone marrow aspirate. For example, a bone marrow aspirate (e.g., 5 cc/kg body weight) is aseptically collected and passed, e.g., injected, into container 3 via port 1 or port 2. In another preferred embodiment, the container 3 has at least one inlet and one outlet. In still another embodiment, the container 3 includes a port having one or more valves to allow for the one-way flow of a fluid or gas. For example, using the embodiment shown in
In certain embodiments, the means for containing a cellular isolate fluid comprises a body defining a sterile and/or hermetically sealed container capable of retaining a fluid or gas, wherein the body also defines one or more ports adapted for the filling and/or dispensing of a fluid. In certain embodiments, the body defines one or more ports, wherein at least one port has a valve, e.g., a one-way valve. In still another embodiment, the body defines an outlet port which includes a valve.
Examples of fluid which may be used in the system include, but are not limited to, sterilizing fluid, contrast media fluid, biological fluid, fluid containing cells, blood, serum, bone marrow aspirate, or fluid containing a culture medium. It is to be understood that during testing, seeding, and culturing in a preferred embodiment, the fluid may be advantageously kept at human body temperature, and may be composed of a fluid which approximates the viscosity of human blood. One illustrative example of a solution which approximates the viscosity of blood is saline with glycerol.
The fluid contained in container 3 is passed from the container through fluid line 51 (in
Fluid line 51, as well as all other fluid lines in the system (e.g., lines 52, 53, 54, 55, 56, 57, 58a-58d, and 59), may be made of any type of medical grade, sterilizable, durable tubing suitable for transporting the fluid or gas in use. For example, the fluid line can be flexible or rigid plastic.
The system also includes a flow channel 7 comprising at least one inlet, at least one outlet and at least one filter comprising at least one filter medium (e.g., disposed in a filter housing) therebetween. In a preferred embodiment, the filter is disposed at an angle that is approximately perpendicular to the direction of flow through the flow channel 7 (although in some embodiments, the filter can be disposed at an angle approximately parallel to the direction of flow, e.g., involving tangential flow filtration). In preferred embodiments the filter is adapted to allow flow therethrough in at least two directions, for example, where the first and second directions are approximately opposite, e.g., wherein a fluid can be passed in a first direction from the upstream surface of the filter through the downstream surface, and a fluid can be passed in a second direction from the downstream surface of the filter though the upstream surface. In an example of this embodiment, a cellular isolate fluid is passed in a first direction through a filter having a suitable pore size (or mesh size), wherein the filter medium is at an angle that is approximately perpendicular to the direction of flow such that the filter retains cells and/or biological material that is too large to pass through the filter. A second fluid is subsequently passed in a second direction through the filter which can wash the retained cells and/or biological material off of the filter medium. Filters that can be employed for use in the flow channel are well known in the art and include, for example, Pall Corporation. In still additional embodiments, the filter (e.g., at least one filter medium) has a porosity suitable to retain cells, e.g., bone marrow-derived mononuclear cells. In certain embodiments, the filter comprises a matrix that is designed to reversibly bind and retain the cells of interest based upon, for example, ligand-receptor interactions.
In still additional embodiments, multiple filters can be assembled in series or in parallel for use in the system as described herein.
It is contemplated that the system and method can have any number of desired flowpaths and shutoffs. The liquid or gas can be fed through the system in at least three ways: gravity, such as a IV type bag connected to the filter, positive pressure or negative pressure, such as via a syringe, pump, or vacuum source, all of which are expressly encompassed and contemplated by the present invention.
Connecting to a filter and/or any other component of the system can be done in any number of ways well known in the art, for example, sterile docking, twist on fittings, such as a luer fitting, snap or friction fittings and fasteners, etc. Thus, it would be possible to connect with a variety of standard connection techniques and it is contemplated that any combination of standard connections is possible.
All combinations are encompassed and contemplated by the present invention.
In certain embodiments, the system includes a means for containing a collection fluid. In certain embodiments the means is a container 13, such as a media bag or any flexible or rigid container capable of being sterilized and/or that is hermetically sealed. For example, a Gibco-BFL 1 L media bag could be used. In certain embodiments, collection container 13 may be composed of any biocompatible, rigid material capable of being sterilized such as Teflon, polycarbonate, acrylic, PVC, or stainless steel. Container 13 can have any suitable volume for containing the collection fluid.
In a preferred embodiment, the container 13 has at least one port adapted for the sterile filling and/or dispensing of a fluid, for example, a bone marrow aspirate filtrate or flow through. For example, a bone marrow aspirate (e.g., 5 cc/kg body weight) is aseptically collected and passed, e.g., injected, into container 3 and subsequently passed (e.g., through optional pre-filter 4 and via fluid flow lines 51 and 52) through flow channel 7 including a filter. The filter retains cells and/or the biological material of interest, allowing the filtrate to flow through fluid lines 53 and 54 and inlet port 11 into container 13. In another preferred embodiment, the container 13 has at least one flow port, e.g., a bi-directional flow port; typically, however, the container 13 has at least two ports. In certain embodiments, container 13 comprises an inlet port and/or an outlet port (in the embodiment illustrated in
In certain embodiments, the means for containing the collection fluid comprises a body defining a sterile and/or hermetically sealed container capable of retaining a fluid or gas, wherein the body also defines one or more ports adapted for the filling and/or dispensing of a fluid. In certain embodiments, the body defines one or more ports, wherein at least one port has a valve, e.g., a one-way valve. In still another embodiment, the body defines an outlet port which includes a valve.
In certain embodiments (e.g., after elution fluid is passed through the flow channel 7 and cells are passed into seeding container 18 as noted in more detail below), the collection fluid or filtrate contained in container 13 is passed through fluid lines 59 and 57 into seeding container 18 (in
In a preferred embodiment, the container 9 has at least one port adapted for the sterile filling and/or dispensing of a fluid, for example, an elution or washing fluid. In certain embodiments, the elution fluid can be a cell culture media, saline, e.g., phosphate buffered saline, saline including dextran, or any other suitable fluid known by those of skill in the art for harvesting or culturing cells, e.g., lactated ringers solution, normal saline, Delbecco's modified Eagles medium, a fluid as disclosed in International Publications WO 98/045413 and WO 05/094914, etc. In another preferred embodiment, the container 9 has at least one flow port, e.g., a bi-directional flow port. In certain embodiments, container 9 comprises an inlet and/or an outlet. In still another embodiment, the container 9 includes a port having one or more valves to allow for the one-way flow of a fluid or gas, and/or one or more valves is associated with a fluid line communicating with the container 9. In accordance with the embodiment illustrated in
In certain embodiments, the means for containing the elution or wash fluid comprises a body defining a sterile and/or hermetically sealed container capable of retaining a fluid or gas, wherein the body also defines one or more ports adapted for the filling and/or dispensing of a fluid. In certain embodiments, the body defines one or more ports, wherein at least one port has a valve, e.g., a one-way valve. In still another embodiment, the body defines an outlet port which includes a valve.
In one embodiment, container 9 is a syringe filled with a sterile elution or wash fluid. The elution or wash fluid is passed through flow channel 7 and into seeding container 18 through valve 8, fluid lines 53, 52, 56 and 57 (in
In certain embodiments, the system includes a means for containing a cell seeding assembly. In certain embodiments, the means is a seeding container 18, such as a media bag or any flexible or rigid container capable of being sterilized and/or that is hermetically sealed. For example, a Gibco-BFL 1 L media bag could be used. In certain embodiments, container 18 may be composed of any biocompatible, rigid material capable of being sterilized such as Teflon, polycarbonate, acrylic, PVC, or stainless steel. Seeding container 18 can have any suitable volume.
In certain embodiments, seeding container 18 may be comprised of two or more sections which are secured and made leak proof through any standard means, such as inner and outer threads or the use of bonding agents. For example, in accordance with the embodiment illustrated in
In a preferred embodiment, the seeding container 18 has at least one port adapted for the sterile filling and/or dispensing of a fluid, for example, an elution or wash fluid and/or collection or filtrate fluid as described herein. In certain embodiments, container 18 comprises an inlet and/or an outlet. In still another embodiment, the container 18 comprises at least an inlet and an outlet port (in the embodiments illustrated in
In a preferred embodiment, seeding container 18 comprises an inlet port 16 and outlet port 24, which allows for the perfusion and/or circulation of fluid into and through the container. Inlet port 16 and outlet port 24 are also used to attach container 18 to fluid lines 57 and 58a, respectively. Fluid line 58a connects seeding container 18 to one or more residual seeded cell fluid containers 35a and 35b, while maintaining a closed system. It is to be understood that although only one seeding container 18 is shown in
Optionally, the seeding container 18 can further comprise at least one vent, e.g., comprising at least one hydrophobic microporous membrane (preferably, disposed in a housing) as disclosed in, for example, International Publication WO 91/017809. For example, in the embodiments illustrated in
In certain embodiments, the means for containing the seeding assembly comprises a body defining a sterile and/or hermetically sealed container capable of retaining a fluid or gas, wherein the body also defines one or more ports adapted for the filling and/or dispensing of a fluid, and a seeding assembly. In certain embodiments, the body defines one or more ports, wherein at least one port has a valve, e.g., a one-way valve. In still another embodiment, the body defines an outlet port.
In certain embodiments, the means for containing residual seeded cell fluid is at least one residual seeded cell fluid container 35a, 35b, such as a media bag or any flexible or rigid container capable of being sterilized and/or that is hermetically sealed. For example, a Gibco-BFL 1 L media bag could be used. In certain embodiments, containers 35a, 35b may be composed of any biocompatible, rigid material capable of being sterilized, such as Teflon, polycarbonate, PVC, or stainless steel.
In a preferred embodiment, fluid is drawn out of container 18 into a residual seeded cell fluid container 35a via port 25 and fluid line 58a through the use of vacuum assembly comprising a vacuum source, e.g., a pump, and a regulator 28, wherein the negative pressure from the pump is conveyed through fluid lines connected to residual seeded cell fluid container 35a, 35b and seeding container 18.
In certain embodiments, seeding container 18 houses a seeding assembly 100 comprising a porous tube 20 and a scaffold 21, e.g., cell or tissue scaffold or graft, such as a vascular graft scaffolding. The porous tube 20 may be comprised of any suitable rigid material, such as Teflon, PVC, polycarbonate, plastic, metal, e.g., stainless steel, which may be made fluid permeable. One illustrative example of a suitable porous tubing is the porous plastic tubing manufactured by Porex Technologies. Alternatively, porous tube 20 may be comprised of any suitable elastomeric material, such as PET or angioplasty balloons, that is capable of expanding and contracting, and that may be made fluid permeable. Seeding container 18 and tube 20 may both be made any length or diameter so as to hold vascular graft scaffolding 21 of any length or diameter. This is advantageous, as the system may be used to sterilize, seed, culture, store, ship, and test vascular grafts of any size. One or more retaining elements such as clips, o-rings, or grommets may also be placed on tube 20, e.g., at both ends of scaffolding 21, to hold the scaffolding in place on the tube during seeding, culturing, storing, shipping, or treatment.
In certain embodiments, the porous tube 20 comprises a mandril 120a. An exemplary mandril is illustrated in
In a preferred embodiment, the mandril 120a comprises a plurality of holes or perforations 121. However, it should be understood that the perforations may be of any desired size, shape, and/or configuration, which can be varied in any number of ways that would be obvious to the skilled artisan in view of the present description, and are encompassed and contemplated by the present invention. It is also contemplated that the porous tube 20 can be of any desired length and/or diameter. For example, the diameter may be varied to account for different graft sizes and/or applications, which are expressly encompassed and contemplated by the present invention.
In certain embodiments, the seeding container 18 houses a seeding assembly 100 comprising a porous tube 18 and a scaffold 21. The scaffold can be naturally derived, e.g., placental tissue, or synthesized. For example, synthetic cell and/or tissue scaffolds are known in the art and are commercially available. One suitable example of a scaffold is disclosed in International Publication WO 09/019,995. In certain embodiments, the scaffold to be used can be a three-dimensional matrix formed of polymeric (homopolymer and/or copolymer) fibers that are assembled in a woven or non-woven mesh, in random or aligned configurations. In a preferred embodiment, the fiber matrix of the scaffold comprises pores of a suitable size to allow cells to adhere and grow and/or differentiate. Since the diameter of a cell is approximately 10 μm to 20 μm, pore sizes within this range are desired in certain embodiments. In addition, the polymeric scaffolds provided by the invention can be generated or fabricated in order to more closely mimic the structure and composition of the natural extracellular matrix in order to promote growth and differentiation of the seeded cell and to facilitate transplantation and/or implantation of the scaffold or cells grown on the same. The fibers comprising the scaffold matrix can be of any desired size, but generally are between about 1.5 mm and 1 nm. In certain embodiments, the fibers are nanoscale (i.e., from about 1 nm to about 1000 nm) and/or microscale (from about 1 μm to about 1000 μm). In certain embodiments, the scaffolds of the invention additionally comprise one or more growth factors capable of facilitating cell growth and/or differentiation.
Polymers useful for creating a scaffold for use in the present invention may be inorganic (e.g., siloxane, sulfur chains, black phosphorus, boron-nitrogen, silicones) or organic (meaning containing carbon). Organic polymers may be natural [e.g., polysaccharides, such as starch, cellulose, pectin, seaweed gums, vegetable gums; polypeptides, such as casein, albumin, globulin, keratin, collagen, insulin, DNA; and hydrocarbons], synthetic [such as thermoplastics (unvulcanized elastomers, nylon, polyvinyl chloride, linear polyethylene, polystyrene, polypropylene, polyurethane, acrylate resins); thermosetting (e.g., vulcanized elastomers, crosslinked polyethylene, phenolics, alkyds, polyesters), and semisynthetic (e.g., cellulosics, such as rayon, methylcellulose, cellulose acetate; and modified starches)]. In addition, scaffolds useful in the present invention may comprise hydrogels formed from water soluble or water insoluble cellulose compounds. As would be readily understood by the skilled artisan, the particular type and composition of scaffold will vary depending upon the desired application. However, it is generally preferred that the polymeric material comprising the scaffold be biocompatible (i.e., will not elicit an unwanted immune reaction).
In certain embodiments, the scaffold is biodegradable. In any embodiment, the degradable polymer is selected from the group consisting of a poly(lactic acid-glycolic acid), a poly(lactic acid), a poly(glycolic acid), a poly(orthoester), a poly(phosphazene), poly(or polycaprolactone, a polyamide, a polysaccharide, and a collagen. In a preferred embodiment, the polymer is poly(lactic acid-glycolic acid).
In any of the embodiments described herein, the scaffold can be apposed to the porous tube, e.g., a mandril as described herein, in the seeding assembly. For example, it is contemplated that the scaffold may be in contact with only a portion of the porous tube. Alternatively, it is contemplated that the scaffold may substantially surround some or all of the porous tube. In general, it is preferred that the scaffold be in juxtaposition or adjacent to the perforated portion of the porous tube such that fluid flows through as much of the scaffold as possible to facilitate seeding of as many cells as possible.
In accordance with embodiments of the invention, a plurality of seeding containers, e.g., comprising seeding assemblies comprising porous tubes (preferably, mandrils and scaffolds) can be pre-assembled, e.g., for different size grafts and/or different applications, and assembled as part of the system when desired. Typically, for example, the seeding containers are pre-assembled and sterilized, and can be sterilely connected to the rest of the system, e.g., by sterile docking. Thus, the optimal system can be quickly set up when needed.
In another preferred embodiment, the flow channel is positioned between the cellular isolate container, collection fluid container, elution or wash fluid container, and the seeding container. This configuration is exemplified by
In any of the preferred embodiments, the system provided by the invention comprises flow lines that permit the flow of a fluid and/or gas therethrough.
Accordingly, in a preferred embodiment, the invention provides a system for the seeding, culture, storage, shipping, and/or testing of a cell or tissue graft comprising a cellular isolate fluid container; a flow channel disposed between the cellular isolate fluid container, a collection fluid container, an elution fluid container, and a seeding container, wherein the flow channel comprises an inlet, an outlet and a filter therebetween, wherein the filter is adapted to allow flow in at least two directions, and wherein the flow channel is selectively in fluid communication with each of the cellular isolate fluid container; the collection fluid container, the elution fluid container, and the seeding container, respectively; and wherein the seeding container comprises a seeding assembly.
In one embodiment, the seeding assembly comprises a perforated mandril, and a biocompatible three-dimensional scaffold which is apposed to at least a portion of the mandril.
In still another embodiment, the system comprises at least one residual seeded cell fluid container, wherein the residual seeded cell fluid container is selectively in fluid communication with the seeding container.
In another embodiment, the system comprises a vacuum source in fluid communication with the residual seeded cell fluid container.
The exemplary embodiments of system as described herein (see
As would be recognized by one of skill in the art, in accordance with embodiments of the invention, the system can be used while maintaining an aseptic system, wherein a sterile seeding container can be assembled (e.g., with the desired porous tube and scaffold) using aseptic techniques, in a sterile field, such as the operating room, using sterile gloves to handle the components. The assembled seeding container can be connected to the other components of the system, e.g., wherein the cell isolation container, elution container, and collection container have already been pre-assembled in a closed sterile manner.
Alternatively, and preferably, the system can be used while maintaining a closed sterile system, wherein the system has been pre-assembled and sterilized before use.
In certain embodiments, the system is disposable. The closed disposable system allows for a procedure for the construction of tissue engineered graft, e.g., a vascular graft, that can be performed rapidly while achieving similar seeding efficiency as compared to previously described methods. See, e.g., Matsumura G, Hibino N, Ikada Y, Kurosawa H, Shinoka T. Successful application of tissue engineered vascular autografts: clinical experience. Biomaterials 2003; 24:2303-8; and FDA IDE 14127, which are incorporated herein by reference in their entirety. In addition, the use of the system as described herein offers the opportunity to construct the tissue engineered graft, e.g., vascular graft, at the point of care (i.e., in the operating room precluding the need for scaffold transport.
The aseptic or closed system for seeding cells onto a three dimensional scaffold as described herein combines filter cell isolation, vacuum seeding, and container (e.g., bag) technology for use in tissue engineering in a way not previously described. Advantages of this technology include that it enables the assembly of a tissue engineered construct without the need for sterile hood or ISO Class 7 room dramatically reducing the cost for producing tissue engineered products while simultaneously increasing the clinical utility of the use of the tissue engineered product by precluding the need for such equipment or facilities. Another advantage is that it provides a graft in less time that previously available.
Tissue engineered vascular graft with bone marrow derived mononuclear cells may be obtained according to exemplary methods of the present disclosure.
With reference to
In one embodiment, the fluid is removed from the seeding container by a vacuum, e.g., −20 mm Hg (or another suitable value less than the bubble point of the filter in the flow channel 2), which is applied until all of the cell suspension has passed through the scaffold and is collected in the residual seeded cell fluid containers 35a, 35b.
In another embodiment, a housing comprises the flow channel, including an inlet, outlet, and filter. In another embodiment the housing comprises the flow channel, inlet, outlet, and filter therebetween, and a valve. In certain embodiments, the valve has at least one open position and at least one closed position.
Accordingly, in another embodiment, and using the illustrative system 1000 shown in
After vacuum has ceased, valve 27 is preferably closed, valve 15 is opened, and the serum in container 13 is allowed to drain by gravity via fluid lines 59 and 57 and port 16 into seeding container 18 thus bathing the seeded scaffold. If the optional vent 26 is included as part of the seeding container 18, gas exchange may occur, e.g., during bathing. If desired, e.g., for ease of handling the seeding container and/or the seeding container components (such as the mandril and/or scaffold) while the cells are being bathed, one or more system components upstream of the seeding container 18, such as filter 7, elution container 9, collection container 13, and/or the cellular isolate container 3 can be removed (e.g., after heat sealing the appropriate fluid line) and discarded. As an additional option, the entire apparatus is placed in an incubator at, e.g., approximately 10-100% humidity, 35-37° C., with 3-5% CO2) for approximately two hours after which the seeded scaffold can be aseptically removed from the container (e.g., after removing the cap 17 (
In an additional aspect, the invention provides kits comprising at least one container comprising a system or apparatus according to any of the embodiments described herein and directions for its use.
It should be appreciated that the exemplary embodiments of the present invention should not be construed to be limited to the examples that are described herein; rather, the exemplary embodiments of the present invention should be construed to include any and all applications provided herein and all variations within the skill of the ordinary artisan.
The contents of all references, patents, pending patent applications, published patent applications and published patents, cited throughout this application are hereby expressly incorporated by reference.
Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims.
It is understood that the detailed examples and embodiments described herein are given by way of example for illustrative purposes only, and are in no way considered to be limiting to the invention. Various modifications or changes in light thereof will be suggested to persons skilled in the art and are included within the spirit and purview of this application and are considered within the scope of the appended claims. For example, the relative quantities of the ingredients may be varied to optimize the desired effects, additional ingredients may be added, and/or similar ingredients may be substituted for one or more of the ingredients described. Additional advantageous features and functionalities associated with the systems, methods, and processes of the present invention will be apparent from the appended claims. Moreover, those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims.
Breuer, Christopher, Smith, Martin A., Shafi, Keru O., Snyder, Edward L.
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